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DocuSign Envelope ID:C7ABE99F-89B4-4BB8-9782-923F44F48F53 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pickard Roofing Company, Inc Party/Vendor Contact Person: Frank Meunier <br /> (Frank @pickardroofing.com) Contact Phone: 919.407-0288 Party/Vendor Address: 823 East Trinity Ave City <br /> Durham State: NC Zip: 27702 Department: AMS Amount: 1650.00 Purpose: Repair two damaged downspouts at <br /> the front of the jail , remove and replace 10' of each downspout with identical shop fabricated copper and add and <br /> adaptor to the underground pipe. Budget Code(s): 61370035-882000-30002 Vendor#63750 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ <br /> Effective Date 4/17/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> l---DOCUSigned by: <br /> Q 4/4/2017 <br /> Department Director's Signatures 9i "'1"°'" Date: <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> Office of the Asset Management Director Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office a(is'6e11"tifo Date: 4/24/2017 <br /> Financial Services <br /> r,„ This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> ,.–DOCUSigned by: 6/15/2017 <br /> Office of the Chief Financial Officer ("1" "6-46" Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> )alun (e�wfs 6/20/2017 <br /> Office of the County Attorney, Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 6 <br />